Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $3,162.28	Facility		$562.34	$3,090.30	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $2,511.89	Professional		$562.34	$1,122.02	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $724.44	Professional		$562.34	$562.34	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,621.81	Professional		$478.63	$562.34	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $676.08	Professional		$562.34	$562.34	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34